Modifiers may be used to indicate to the recipient of a report that a service or procedure has both a professional and technical component a service or procedure was performed by more than one physician and or in more than one location a service or procedure has been increased or reduced only part of a service was performed. The schedule also includes codes descriptors and modifiers that are unique to california or california changes to cpt codes unique california codes and cpt codes modified for california are designated in the schedule by the symbol codes that have been revised since the last edition of the schedule are designated by the symbol . Modifier categories when more than one modifier is submitted the modifiers must be ranked the following categories serve as a reference point when ranking modifiers a pricing modifiers are considered part of the seven digit procedure code by the cms and are used to determine the reasonable charge or fee for a service tc 26 b
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